Active NPI
Orlie Wheatly Reid Jr., LCSW-C
- Clinical Social Worker
- Waldorf, MD
National Provider Identifier
1134313166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12188
- Practice address
- 2940 Merchant CT
Waldorf, MD 20603-5302 - Phone
- (240) 462-3255
- Fax
- (310) 705-8944
- NPI assigned
- Sep 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12188 | MD | Primary |
Addresses
Primary practice location
2940 Merchant CT
Waldorf, MD 20603-5302
Mailing address
2940 Merchant CT
Waldorf, MD 20603-5302
Phone (240) 462-3255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12188 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trico Corporation | Past | Accepting new patients | |
| Orlie Reid Jr | Clinical | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Waldorf, MD
- NPI 1659551919
-
- Mental Health Counselor
- Lexington Park, MD
- NPI 1275514671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188777600000",
"number": "1134313166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2940 MERCHANT CT",
"city": "WALDORF",
"state": "MD",
"postal_code": "206035302",
"telephone_number": "240-462-3255",
"fax_number": "310-705-8944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 MERCHANT CT",
"city": "WALDORF",
"state": "MD",
"postal_code": "206035302",
"telephone_number": "240-462-3255",
"fax_number": "310-705-8944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "ORLIE",
"middle_name": "WHEATLY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-03",
"last_updated": "2007-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "12188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.